Adoption Application

We reserve the right to refuse any applicant for any reason if we feel the needs of the dog will not be properly met or the adoption is not in the best interest of the dog.

Please make sure you completely fill out the application before submitting it to us.Missing information will delay the process and false information will result in your application automatically being denied.

The application and adoption processes are designed to match appropriate homes with appropriate dogs. While many dogs may be attractive to the eye, we are very careful to understand the lifestyle of each adopter since we clearly understand the individual needs of dogs in our care.

We do not ship dogs; we require that the applicant come to meet the dog and us before an adoption will be finalized. We adopt out to renters, to those living out of state but at this time we are unable to adopt out to someone who rents and lives out of state. Sorry for the inconvenience.

Our goal is to place dogs in happy, forever homes where the adopting party and dogs are both winners.

Open the Application Form

Adoption Application

Name of Dog Interested In *

Will the dog reside in your home?

Yes

No

If no please explain

When are you looking to bring home a new family member? *

Your name *

Your name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

County *

Phone *

Phone

(###)

###

####

Best time to call

Email *

How did you hear about us?

*Name, gender, occupation and ages of adults in household (18 years or older, include yourself): *

Age and gender of children in the household (anyone 17 years or younger) *

Do you plan on having children in the next 5 years?

Yes

No

What will happen to the dog if you have children or children move into your home?

Are any members of your household allergic to animals? *

Yes

No

If you answered Yes to the above question, please list the type of animal allergic to.

Are there other visitors to your home, human or animal, with which a new dog will have to interact? *

Yes

No

If Yes describe who/what:

Do you live in a House, Apartment, Trailer, ect? *

Describe your property (busy street, acreage, etc.) *

Do you own or rent, or are you currently in the process of buying your home? *

Do you live in a neighborhood that is part of an association? *

Yes

No

If yes please provide contact information of the association

For Renters only: Name of landlord

For Renters only: Landlord’s phone number

For Renters only: Landlord’s phone number

(###)

###

####

For Renters only: Does your landlord have breed restrictions

How long have you lived at your current address? *

Do you plan on moving in the next few years? *

Yes

No

What will happen to your pet if you move? *

Do you have a completely fenced yard suitable for a dog? *

Yes

No

Do you have a kennel run or tie out for a dog? *

Yes

No

If no fence, how will you handle exercise and toilet needs?

Do plan on crating your new dog? *

Yes

No

How many hours a day will the dog be alone? *

Where will the dog be when left alone? *

Are you planning to enroll the dog in obedience/training class?

Yes

No

Who will be the primary care giver for the dog? *

Describe a typical day in the dog's life with you and in your home *

Do you intend to keep this dog primarily inside or outside? *

Where will the dog sleep? *

Why have you decided to adopt a dog? *

Why did you choose this dog?

What the 5 most important traits in a dog to you? *

Have you had a rescue dog before? *

Yes

No

If yes, from what organization and how was your experience?

List the dogs and other animals currently in your home, including outside pets *

name, age, gender, breed, how long you have owned.

Are the animals currently in your home neutered or spayed? *

Yes

No

If no, explain why

Are the animals in your home current on vaccinations, heartworm prevention, flea prevention and rabies? *

Yes

No

If no, explain why

Have you ever adopted a dog you were unable to keep?

Yes

No

If Yes, Why?

*Do you plan on adding any additional pets to your home in the next 12 months? *

Yes

No

How many animals have you owned in the past five years that you no longer own? *

Why do you no longer have them?

What would cause you to return a pet you adopted from us? *

Are you able and willing to take on the financial responsibility? *

A dog can cost in the upwards of $600 a year between regular vet visits and food. This amount does not include emergency trips to the vet office.
for those un expected situations

Yes

No

Do you realize that owning a dog is a 15 - 20 year commitment? *

Yes

No

Do you have a regular veterinarian? *

Please be sure to let your vet know we will be calling.

Yes

No

Vet's name

Vet's address

Vet's address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Vet's phone number

Vet's phone number

(###)

###

####

Is there another name that the dog’s records may be listed under? *

Yes

No

If there is there a second veterinarian that may also have the dog’s records, enter info here

*Please keep in mind that you are applying for a lifetime companion. Are you willing to make the investment in both time and money to care for and properly manage your new pet (this includes house training, obedience training, food, toys, methods of restraint, yearly license, yearly shots and visits to the vet, possible obedience classes, etc.) *

Yes

No

Are you willing to keep your animal on flea/tick/heartworm preventative? *

Yes

No

*Dogs require yearly boosters, heartworm testing and monthly prevention for flea/tick and heartworm. They may jump on, knock over, and nip at small children if not handled or trained properly. You may need to take your puppy or dog to obedience classes if you are having trouble training on your own. Are you willing to deal with all of these issues and the expenses? *

Yes

No

Would you be willing to consider a different dog if we feel this one is not a fit for you and your family? *

Yes

No

Personal Reference #1 *

Someone not living in your home. At least one personal reference must be a non-relative.

Personal Reference #2 *

Someone not living in your home. At least one personal reference must be a non-relative.

Make sure to agree to all statements below before submitting your application *

I agree that all of the information I have given in this adoption form is true and complete.

I agree that this dog will reside in my home.

After adoption I agree to provide Multiple Breed Rescue with address, e-mail and phone number changes. I will provide the dog with adequate food, water, shelter, training, affection and medical care and the dog will not be tied out or left outside unattended for any reason.

I understand that the rescue is not responsible for the accuracy of information received about the temperament, habits or physical condition of the dogs available for adoption. However, all information know about the pet is given to you prior to adoption.

Thank you for your application! Someone will contact you within 10 days of receiving your application. For questions, please email rescue@mbrohio.com

Multiple Breed Rescue

Multiple Breed Rescue is a 501c(3) nonprofit animal rescue located in Northeast Ohio.

Our featured adoption

Meet Queenie! She is a 1 year old lab mix with lots of energy and love. Queenie's hobbies include playing fetch, running through the back yard, long walks, and excited snuggles. Queenie loves attention. She happily climbs into laps for cuddles, and enjoys being around her people, both in the house and outside. She will be a great dog for an active owner or family, and can't wait to meet her forever family!

Queenie's life before rescue wasn't so happy, even if she is still full of love for people. She is truly becoming a different dog than what she was when we first brought her into the rescue, and we are so excited to watch her continue to blossom. Queenie needs a family who will understand her special circumstances, and will work with her to improve her trust in men and her confidence in herself. A family or owner with previous dog experience is preferred. If you think you could be Queenie's happily-ever-after, fairy tale ending, please send us your application! Queenie is looking forward to meeting you!